Validity and Reliability of Gait Assessment with Benesh Movement Notation-for analysis of the walking of adult hemiplegic patients-
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概要
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本研究の目的は，ベーネシュ運動記載法を用いた成人片麻痺患者の歩行分析評価の妥当性と信頼性についての検討である．20例の脳卒中片麻痺患者の歩行を記載し，5つの歩行因子，及び四肢・体幹の要素の記号数を求め，分析した．その結果，歩行因子では位置・角度因子の記号数が他の因子の記号数に比べ有意に多く，四肢・体幹の要素では上肢と下肢の記号数に有意差はなかった．また，Brunnstrom stageが低いほど位置・角度因子や上肢，体幹の記号数が有意に多く，それを反映し記号総数も多かった．以上の結果からBMNの歩行評価の適応とその妥当性と信頼性が認められた．このように観察歩行評価としてのBMNは，有効な客観的臨床歩行評価の方法と認められる．We studied the validity and the reliablity, as well as the indications and limitations of Benesh Movement Notation gait assessment with adult hemiplegic patients. We described the use of BMN for analysis of the walking of 20 adult hemiplegic patients, and analyzed the number of BMN deviational signs which we divided into five classifications of walking factors, in addition to factor for limb and trunk. It was thereby found that: 1.The twenty subjects represented 366 deviational signs that we summarize the performance in terms of standing posture and walking. The Brunnstrom recovery stage (BS) was low with higher numbers of deviational signs, although a significant difference was not observed. 2.For walking factors, the numbers of deviational signs with position/angle factors were significantly higher than many the numbers of deviational signs associated with the other four factor classifications. 3.For walking factors, the numbers of deviation signs increased with low BS, and significant differences were idetified the position/angle and orthosis factor classificatione. The BMN methods consist mainly of the evaluation of gait deviations from visual assessment of position/angle factors and limb and trunk variables. Our results indicate that the BMN method can be used reliably. It should be possible to develop BMN systems with higher reliability levels so that observational gait assessments can be generally recognized as an objective clinical gait evaluation tool.
- 1998-03-25
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